Walsh, Thomas

Walsh, Thomas is an individual health care provider with primary practice located at 4771 Hylan Blvd , Staten Island NY 10312. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Walsh, Thomas can be contacted via phone (718) 948-8200.

Contact Information

Primary practice address
4771 Hylan Blvd Staten Island NY 10312
Phone: (718) 948-8200
Fax: (718) 420-2718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 306239 New York

Profile Details

NPI number 1285756577
LBN Legal business name Walsh, Thomas
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Oct 1st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285756577 NPPES
New York MEDICAID 03512961

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